NPIMap

Organization Active NPI

South County Therapies LLC

  • Hearing and Speech Clinic/Center
  • Southbridge, MA
National Provider Identifier
1912437633
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5734 Issued in MA
Legal business name
SOUTH COUNTY THERAPIES LLC
Practice address
176 Main St Ste 450
Southbridge, MA 01550-2565
Phone
(508) 314-6647
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Sullivan, MA CCC-SLPNPI 1114394202
Title
Speech Language Pathologist
Phone
(774) 318-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 5734 MA Primary

Addresses

Primary practice location

176 Main St Ste 450
Southbridge, MA 01550-2565

Mailing address

64 Main St
Sturbridge, MA 01566-1244
Phone (774) 318-1900

National Provider Directory

National Provider Directory

Locations

176 Main St
Ste 450
Southbridge, MA 01550
Phone (508) 314-6647

64 Main St
Sturbridge, MA 01566
Phone (774) 304-1200

71 Main St
Ste 3
Sturbridge, MA 01566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1912437633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661244",
            "telephone_number": "774-318-1900",
            "fax_number": "774-272-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST STE 450",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502565",
            "telephone_number": "508-314-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "774-318-1900",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MA",
            "license": "5734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.